Detalhe da pesquisa
1.
Ambulatory Care Coordination Data Gathering and Use.
Comput Inform Nurs
; 42(1): 63-70, 2024 Jan 01.
Artigo
em Inglês
| MEDLINE | ID: mdl-37748014
2.
A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-SDH.
Nurs Outlook
; 71(5): 102044, 2023.
Artigo
em Inglês
| MEDLINE | ID: mdl-37729813
3.
Mortality Risk in Homebound Older Adults Predicted From Routinely Collected Nursing Data.
Nurs Res
; 68(2): 156-166, 2019.
Artigo
em Inglês
| MEDLINE | ID: mdl-30531348
4.
Reducing Emergency Room Visits and In-Hospitalizations by Implementing Best Practice for Transitional Care Using Innovative Technology and Big Data.
Worldviews Evid Based Nurs
; 15(3): 170-177, 2018 Jun.
Artigo
em Inglês
| MEDLINE | ID: mdl-29569327
5.
Complexity of Chronic Conditions' Impact on End-of-Life Expense Trajectories of Medicare Decedents.
J Nurs Adm
; 47(11): 545-550, 2017 Nov.
Artigo
em Inglês
| MEDLINE | ID: mdl-29045355
6.
Integrating social context into comprehensive shared care plans: A scoping review.
Nurs Outlook
; 65(5): 597-606, 2017.
Artigo
em Inglês
| MEDLINE | ID: mdl-28237357
7.
The Roles of Chronic Disease Complexity, Health System Integration, and Care Management in Post-Discharge Healthcare Utilization in a Low-Income Population.
Res Nurs Health
; 39(4): 215-28, 2016 08.
Artigo
em Inglês
| MEDLINE | ID: mdl-27284973
8.
Medical Mondays: ED Utilization for Medicaid Recipients Depends on the Day of the Week, Season, and Holidays.
J Emerg Nurs
; 42(4): 317-24, 2016 Jul.
Artigo
em Inglês
| MEDLINE | ID: mdl-26972368
9.
Frequent emergency department utilization and behavioral health diagnoses.
Nurs Res
; 64(1): 3-12, 2015.
Artigo
em Inglês
| MEDLINE | ID: mdl-25502056
10.
Aligning population-based care management with chronic disease complexity.
Nurs Outlook
; 62(4): 250-8, 2014.
Artigo
em Inglês
| MEDLINE | ID: mdl-24882573
11.
A population-based care transition model for chronically ill elders.
Nurs Econ
; 32(3): 109-16, 141; quiz 117, 2014.
Artigo
em Inglês
| MEDLINE | ID: mdl-25137808
12.
Identifying High-Need Primary Care Patients Using Nursing Knowledge and Machine Learning Methods.
Appl Clin Inform
; 14(3): 408-417, 2023 05.
Artigo
em Inglês
| MEDLINE | ID: mdl-36882152
13.
Expanding the evidence for cross-sector collaboration in implementation science: creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge.
Front Health Serv
; 3: 1124054, 2023.
Artigo
em Inglês
| MEDLINE | ID: mdl-37744643
14.
The Role of Telehealth and Clinical Informatics in Data Driven Primary Care Redesign.
J Inform Nurs
; 6(4)2022.
Artigo
em Inglês
| MEDLINE | ID: mdl-35733915
15.
Care Coordination: A Concept Analysis.
Am J Nurs
; 121(12): 30-38, 2021 12 01.
Artigo
em Inglês
| MEDLINE | ID: mdl-34792502
16.
Risk prediction and segmentation models used in the United States for assessing risk in whole populations: a critical literature review with implications for nurses' role in population health management.
JAMIA Open
; 2(1): 205-214, 2019 Apr.
Artigo
em Inglês
| MEDLINE | ID: mdl-31984354
17.
Estimating the causal effects of chronic disease combinations on 30-day hospital readmissions based on observational Medicaid data.
J Am Med Inform Assoc
; 25(6): 670-678, 2018 06 01.
Artigo
em Inglês
| MEDLINE | ID: mdl-29202188
18.
Exploring Medicaid claims data to understand predictors of healthcare utilization and mortality for Medicaid individuals with or without a diagnosis of lung cancer: a feasibility study.
Transl Behav Med
; 8(3): 400-408, 2018 05 23.
Artigo
em Inglês
| MEDLINE | ID: mdl-29800414
19.
Integrating Social Determinants of Health into Primary Care Clinical and Informational Workflow during Care Transitions.
EGEMS (Wash DC)
; 5(2): 2, 2017 Jul 04.
Artigo
em Inglês
| MEDLINE | ID: mdl-29930967
20.
Comparative Effectiveness of Risk-Stratified Care Management in Reducing Readmissions in Medicaid Adults With Chronic Disease.
J Healthc Qual
; 38(1): 3-16, 2016.
Artigo
em Inglês
| MEDLINE | ID: mdl-26730804